Elicia Kellam
Peer Specialist in Lacey, WA. Individual provider (NPI-1).
NPI number1619708567
StatusActive
Last updated in NPPESAug 12, 2024
Details
- NPI
- 1619708567
- Entity type
- Individual (NPI-1)
- Name
- Elicia Kellam
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2024
- Certification date
- Aug 12, 2024
- Last updated
- Aug 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
670 Woodland Square Loop Se Ste 301Lacey, WA 98503-1091
Phone 360-790-9109
Mailing address
670 Woodland Square Loop Se Ste 301Lacey, WA 98503-1091
Phone 360-790-9109
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All 60 Peer Specialist providers in Lacey · All 1,962 providers in Lacey
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